Augustine, Susan Marie

Augustine, Susan Marie is an individual health care provider with primary practice located at 1277 E Missouri Ave Suite 201, Phoenix AZ 85014-2917. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Augustine, Susan Marie can be contacted via phone (602) 279-5712.

Contact Information

Primary practice address
1277 E Missouri Ave Suite 201 Phoenix AZ 85014-2917
Phone: (602) 279-5712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5175 Arizona

Profile Details

NPI number 1649230467
LBN Legal business name Augustine, Susan Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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